A new analysis of 12 studies involving 582 children with cerebral palsy suggests that dual-task training may offer greater improvements in balance, gross motor function, and functional mobility compared with conventional rehabilitation alone.
Dual-task training involves performing two activities at once, such as walking while carrying a cup or balancing while answering questions. The analysis found that children who received dual-task training showed significant gains in balance capacity, standing and walking skills (measured by GMFM Dimensions D and E), and the Timed Up and Go test, which measures mobility.
However, the evidence is not strong enough to change practice yet. The studies varied widely in their protocols and outcomes, and the certainty of the evidence was low to moderate. No safety concerns were reported, but the studies did not track side effects or dropouts in a consistent way.
For now, dual-task training appears promising as a supplement to standard therapy, but larger, well-designed studies with longer follow-up are needed before it can be widely recommended. Families should discuss any new therapy with their child's care team.
